MR. NICHOLAS RIDER (D.O.) – Allergy & Immunology Physician, NPI 1295952588

MR. NICHOLAS RIDER (D.O.) is a healthcare provider. based in Carlisle, Pennsylvania. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials D.O.. They hold a License No. OS014332 (PA). The NPI Number for MR. NICHOLAS RIDER (D.O.) is 1295952588

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. NICHOLAS RIDER (D.O.)
NPI
1295952588
Phone
(717) 243-7540
Address
220 Wilson Street
Enumeration Date
19 April 2007
Last Update Date
9 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407690976
Graduation Year
2002 (24 years ago)
PAC ID
0143499962
Group Practice PAC ID
9830096585
Professional Enrollment ID
I20221214003221
Address ID
VA240180720RO4348XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

216 ALLERGY/IMMUNOLOGY in PA

Provider Addresses for MR. NICHOLAS RIDER (D.O.)

  • 220 Wilson Street

    Suite 200

    Carlisle, PA 170133697

    Phone: (717) 243-7540

    Fax: (717) 243-9968

    Type: Location

  • 220 WILSON STREET

    SUITE 200

    CARLISLE, PA 170133697

    Phone: (717) 243-7540

    Fax: (717) 243-9968

    Type: Mailing

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone:

    Type: Mailing

  • 4348 ELECTRIC RD

    ROANOKE, VA 240180720

    Phone: (540) 769-0950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 115 Open Payments records for all available years, with a total value of $95,473.

Total Amount is formed as General ($95,473) + Research ($0) + Ownership ($0) = $95,473.

Last reported payment date: 2024-10-27 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($42,101).

Total Amount

$95,473

General + Research + Ownership

Payments

115

Total payment records

General Amount

$95,473

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221214003221IAllergy/ImmunologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17013)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830096585View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MR. NICHOLAS RIDER (D.O.)'s NPI?
Yes. MR. NICHOLAS RIDER (D.O.) is listed with NPI 1295952588 in the public NPI dataset.
Does the file indicate MR. NICHOLAS RIDER (D.O.) is practicing under active NPI?
Directory data currently reports MR. NICHOLAS RIDER (D.O.) as active.
What taxonomy line describes MR. NICHOLAS RIDER (D.O.)?
For research purposes, treat MR. NICHOLAS RIDER (D.O.) as Allergy & Immunology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. NICHOLAS RIDER (D.O.) based?
MR. NICHOLAS RIDER (D.O.) is tied to Carlisle, Pennsylvania in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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